Study of Dosage of Prophylactic Intravenous Ephedrine for Spinal-Induced Hypotension During Caesarean Section in Andhra Pradesh Population: Retrospective Study

Abstract

Background: Spinal anaesthesia is widely used for caesarean surgery because it provides a fast and profound
sensory and motor block, on the other hand Hypotension is very common complication of spinal anaesthesia.
Hence Ephedrine infusion has to be used to control hypotension.
Method: Out of 60 (sixty), 30 were administrated with ephedrine 30 controlled group was administrated same
quantity of normal saline during spinal anaesthesias. Hemodynamic and neonatal outcomes were noted and
compared.
Results: In comparison of systolic BP time interval between both group at 1, 3, 4, 5 had significant values (p<0.001).
Moreover rescue Ephedrine dosage in group-A 3.02 (± 0.2), 4.05 (± 0.3) t test 15.6 and p<0.001 (p value was highly
significant) but agar score at different interval and umbilical cord blood PH remained the same value.
Conclusion: The present has proved that, IV infusion Ephedrine after spinal was more effective than crystalloid
preloading in prevention of hypotension in parturient undergoing caesarean section with causing hemodynamic
complications.